SELF-REPORTED AND OBJECTIVE ASSESSMENT OF HEARING HANDICAP AND COGNITIVE CHALLENGES IN AGE-RELATED HEARING LOSS

Abstract Age-related hearing loss (ARHL) is a common condition in older adults, with most reporting challenges in recognizing speech-in-noise (SiN). Growing evidence also indicates cognitive alterations in this population. Concomitant examination of hearing and cognitive abilities using a combination of subjective and objective measures would be useful in characterizing the challenges faced by individuals with ARHL. We examined hearing abilities and cognitive functions in 15 individuals with bilateral mild-to-moderate untreated sensorineural ARHL (age: 70.4 ± 7.4 years, pure tone average: 31.0 ± 3.8 dB HL) and 15 age- and education-matched normal hearing controls (age: 65.7 ± 5.8 years, pure tone average: 15.4 ± 5.9 dB HL). We examined subjective ratings of hearing handicap (Hearing Handicap Inventory for Adults) and cognitive ability (Self-rating of Cognition in Everyday Activities), and objective measures of SiN (Quick Speech-In-Noise) and cognition (Montreal Cognitive Assessment [MoCA] and MoCA-memory index score [MoCA-MIS]). Our analysis revealed that individuals with ARHL self-reported a greater number of cognitive issues in everyday activities and had a higher hearing handicap score (p=.044) relative to controls. Additionally, the ARHL group performed significantly worse on SiN (p=.005) and cognitive screening (MoCA, p=.031; MoCA-MIS, p=.039). Taken together, these findings suggest that in addition to experiencing challenges with hearing abilities, individuals with mild-to-moderate ARHL also experience cognitive changes. Furthermore, these challenges are self-perceived as well as noticeable on objective testing. Our work points towards the consideration of self-report and objective assessment of cognition in geriatric hearing care, which can further inform the development of novel interventions.

United States, 3. University of Wisconsin-Madison, Madison, Wisconsin, United States, 4. University of Utah, Salt Lake City, Utah, United States The clinical availability of assessing muscle quality through diagnostic ultrasound provides a viable screening tool for geriatric syndromes that impair mobility.However, relationships between muscle echogenicity and clinical assessments require further inquiry.The authors aimed to systematically identify and synthesize the literature regarding the relationship between quadriceps echogenicity and maximal knee extensor strength in older adults.A total of 12 extracted articles (N=701, 73.6±5.4 years) independently assessed the relationship between quadriceps echogenicity and peak knee extensor torque.Correlations were weak to moderately negative between knee extensor strength and rectus femoris echogenicity in older adults (mean ±standard deviation; r=-0.398±0.159[range=-0.681to -0.080]).While the limited number studies did not warrant advanced analyses, but it appears that the echogenicity of the vastus medialis (study n=3, r=-0.426±1.97 [range=-0.640 to -0.253]) and vastus lateralis (n=3, r=-0.411±0.095[range=-0.511to -0.322]) may be superior to the vastus intermedius (n=4, r=-0.341±0.166[range=-0.484to -0.120]) and rectus femoris (n=7, r=0.290±0.140[range=-0.460to -0.080]) for predicting knee extension strength in older adults.Furthermore, averaging across multiple quadriceps muscles generally improved correlations (n=4, r=-0.544±0.154[range=-0.681to -0.334]).Overall, correlations with knee extensor strength were stronger when echogenicity was corrected for subcutaneous fat thickness (n=3, r=-0.491±0.04[range=-0.521to -0.453]).However, results regarding fat correction were inconsistent within studies (n=2, uncorrected r=-0.120 and -0.527 versus corrected r=-0.500 and -0.453, respectively).Future studies should aim to report correlations for all quadriceps muscles and for both corrected and uncorrected echogenicity values to allow for more thorough analytical approaches.EPESE) and the 2010 census tract characteristics from the National Neighborhood Data Archive (NANDA) recently, we fit multilevel regression models to assess how neighborhood characteristics (census tract proportion Latino, proportion foreign-born, and proportion in poverty) affect caregiver distress (caregiver depression score, caregiver general stress, caregiver reports of neuropsychiatric behavioral symptoms of cognitive decline and caregiver report of stress from neuropsychiatric behavioral symptoms of cognitive decline).We found that living in an area with a higher proportion of foreign-born adults is related to lower reports of neuropsychiatric symptoms and lower levels of caregiver distress.Family caregivers residing in ethnic enclaves with high proportions of foreign-born persons reported significantly fewer symptoms of feeling stubborn and resistive, being in low spirits, feeling upset when separated from the care recipient, losing interest in usual activities, or experiencing changes in weight.While residing in these communities may reduce behavioral concerns in care recipients and increase social support availability, cultural factors such as ideas about normative aging may influence symptom reporting.Increasing available support for caregivers residing in ethnic enclaves is an important step toward developing dementia-capable communities and reducing caregiver health disparities.Religiosity is a key factor in the lives of many older Americans, and it may help people develop a sense of purpose.This association is highly nuanced, across groups and measures.For instance, religiosity plays a different role across racial/ethnic groups in the United States, which may influence its association with sense of purpose.To examine whether the relationship between religiosity and sense of purpose differs across White and Black Americans, we used the St. Louis Personality and Aging Network data (N = 732), collected from older adults (M age = 67.96;SD age = 4.31; 76.37% White, 23.63% Black American).We used data from multiple waves to examine religiosity, sense of purpose, and social engagement.To disentangle different aspects of religiosity, we included three items focusing on the meaning of religion to one's life, participation in religious activities, and how much religion influences one's daily life.Black participants scored higher on all religiosity items compared to White participants.Nevertheless, the relationship between religiosity and sense of purpose did not differ based on one's racial/ethnic identity or the aspect of religiosity.Additionally, social support did not moderate relationships between religiosity and sense of purpose, suggesting that these relationships are similar regardless of whether one perceives more or less social support from others.These findings add to our understanding of when and for whom religiosity correlates with purpose among older adults, and future directions include examining the influence of religiosity on changes in purpose over time.
Abstract citation ID: igad104.3566Age-related hearing loss (ARHL) is a common condition in older adults, with most reporting challenges in recognizing speech-in-noise (SiN).Growing evidence also indicates cognitive alterations in this population.Concomitant examination of hearing and cognitive abilities using a combination of subjective and objective measures would be useful in characterizing the challenges faced by individuals with ARHL.We examined hearing abilities and cognitive functions in 15 individuals with bilateral mild-to-moderate untreated sensorineural ARHL (age: 70.4 ± 7.4 years, pure tone average: 31.0 ± 3.8 dB HL) and 15 age-and educationmatched normal hearing controls (age: 65.7 ± 5.8 years, pure tone average: 15.4 ± 5.9 dB HL).We examined subjective ratings of hearing handicap (Hearing Handicap Inventory for Adults) and cognitive ability (Self-rating of Cognition in Everyday Activities), and objective measures of SiN (Quick Speech-In-Noise) and cognition (Montreal Cognitive Assessment [MoCA] and MoCA-memory index score [MoCA-MIS]).Our analysis revealed that individuals with ARHL self-reported a greater number of cognitive issues in everyday activities and had a higher hearing handicap score (p=.044) relative to controls.Additionally, the ARHL group performed significantly worse on SiN (p=.005) and cognitive screening (MoCA, p=.031; MoCA-MIS, p=.039).Taken together, these findings suggest that in addition to experiencing challenges with hearing abilities, individuals with mild-to-moderate ARHL also experience cognitive changes.Furthermore, these challenges are self-perceived as well as noticeable on objective testing.Our work points towards the consideration of self-report and objective assessment of cognition in geriatric hearing care, which can further inform the development of novel interventions.

SELF-REPORTED AND OBJECTIVE ASSESSMENT OF HEARING HANDICAP AND COGNITIVE CHALLENGES IN AGE-RELATED HEARING LOSS
Abstract citation ID: igad104.3567

TELEWORKING TO SUPPORT ACCOMMODATION, INCLUSION, AND HEALTH OF OLDER WORKERS: ISSUES FACED BY MANAGERS Alexandra Lecours, Université du Québec à Trois-Rivières, Drummondville, Quebec, Canada
Telework is increasingly present and has the potential to be used as an accommodation modality to facilitate inclusion and healthy participation in the workplace for older workers (i.e.aged 55 and over).However, there is a need for a practical tool to guide the application of telework with this population.This poster presents the first stage of a study aiming to develop a reflective guide for applying telework to support the accommodation, inclusion, and health of older workers.Following a three-stage developmental research design, this first stage consists in conducting individual interviews with older teleworkers and managers to gather qualitative data on their experience.During the second stage, the issues, considerations, and good practices that emerged from the first stage are compiled into a guide.In the third stage, this guide will be validated by workers and managers to ensure its acceptability and applicability.Preliminary results from the first stage allowed to identify issues faced by managers concerning accommodation (n=8, e.g.ensuring that accommodating older workers does not add extra pressure on colleagues), inclusion (n=5, e.g.difficulty to mobilize older teleworkers for face-to-face social gatherings), and health (n=2, e.g.managers feel powerless to manage older teleworkers' emotions).Managers play a key role in implementing practices that promote the accommodation and inclusion of older workers through teleworking, but they have few tools to support them.The reflective application guide that will be created during this study represents an innovative tool likely to have positive impacts at individual, organizational and societal levels.

LATE BREAKING POSTER SESSION IV
Abstract citation ID: igad104.3568

ASSOCIATION BETWEEN LONG-TERM EXPOSURE TO AIR POLLUTION AND LOWER URINARY TRACT SYMPTOMS IN KOREAN OLDER MEN Youngmin Jee, Seoul National University, Seoul, Republic of Korea
Low Urinary Tract Symptoms(LUTS) is one of the common symptoms in older men and is important factor in terms of quality of life.The purpose of this research was to investigate the association between long-term exposure to air pollution and LUTS in korean older men.The study participants were recruited from a health checkup center of Seoul National University Hospital from January 1st, 2015 to December 31st, 2019.A total of 7,979 participants were aged over 65 years and underwent screening health checkup including International prostate symptom score (IPSS) for LUTS.To evaluate the exposure to air pollution, hourly measurements of air pollutants from nationwide air quality monitoring sites were utilized.The associations between exposure to air pollutants and LUTS were analyzed using logistic analysis in a crude model and an adjusted model, the latter of which included covariates.Most air pollutants including PM10, NO2, SO2, and CO were all significantly associated with LUTS in crude models, but the correlations were no longer significant in the adjusted models.PM2.5 exposures showed significantly positive association with voiding symptoms in adjusted model (OR, 1.07; 95% CI, 1.02~1.13;p=0.012).The associations of other air pollutants with voiding and storage symptoms showed negative tendency in unadjusted model, and some of them were significant.However, the associations were no longer significant in adjusted model.This study demonstrated that air pollutants including PM10, NO2, SO2, and CO are associated with LUTS, particularly PM2.5 showed a positive correlation with voiding symptoms of LUTS in the adjusted model.Non-enzymatic reactions in glycolysis lead to the accumulation of methylglyoxal (MGO), a reactive precursor to advanced glycation end-products (AGEs), which has been Pankaj Kapahi, Buck Institute for Research on Aging, Novato, California, United States